Active NPI
Seasons Change Home Health Care, Inc.
- Home Health Agency
- Pigeon, MI
National Provider Identifier
1689754434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SEASONS CHANGE HOME HEALTH CARE, INC.
- Practice address
- 8201 Port Austin Rd.
Pigeon, MI 48755 - Phone
- (989) 453-3128
- Fax
- (989) 453-3159
- NPI assigned
- Oct 16, 2006
- Last updated
- Dec 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlotte Mae Braun
- Title
- Ceo
- Phone
- (989) 453-3128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MI | Primary |
Addresses
Primary practice location
8201 Port Austin Rd.
Pigeon, MI 48755
Mailing address
8201 Port Austin Rd
Pigeon, MI 48755
Phone (989) 453-3128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4404091 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101025000066 | MI | Part A Provider - Home Health Agency | 6901099894 | Practice locations: Pigeon, MI |
| O20131206000702 | MI | Part B Supplier - Independent Clinical Laboratory | 6901099894 | Practice locations: Pigeon, MI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689754434. Details of each certification follow.
Home health agency certification: CCN 237462
- Legal name
- SEASONS CHANGE HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 16, 2001
- Last certification
- Oct 3, 2014
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 31, 2001 in MI
- Enrollment address
- 8201 Port Austin Rd
Pigeon, MI 48755-9633
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Seasons Change Home Health Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 16, 2001
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D0984450 | Seasons Change Home Health Care, Inc | Certificate of waiver | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
8201 Port Austin Rd
Pigeon, MI 48755
Phone (989) 453-3128
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charlotte Mae Braun | 5% Or Greater Direct Ownership Interest | Nov 16, 2001 | 100% |
| Denise Liebeskind | W-2 Managing Employee | Mar 22, 2023 |
Practitioners & affiliated clinicians
Affiliated clinicians 19
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Bad Axe, MI
- NPI 1700993052
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324339200000",
"number": "1689754434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 PORT AUSTIN RD",
"city": "PIGEON",
"state": "MI",
"postal_code": "48755",
"telephone_number": "989-453-3128",
"fax_number": "989-453-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 PORT AUSTIN RD.",
"city": "PIGEON",
"state": "MI",
"postal_code": "48755",
"telephone_number": "989-453-3128",
"fax_number": "989-453-3159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASONS CHANGE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2011-12-20",
"status": "A",
"authorized_official_last_name": "BRAUN",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "989-453-3128",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4404091",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pigeon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.